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Megacolon, particular case of ledd syndrome. Clinical observation Megacolon，铅综合征的特殊病例。临床观察
Hirurg (Surgeon) Pub Date : 2023-02-25 DOI: 10.33920/med-15-2301-04
N. V. Malgina, V. N. Razbirin, A. I. Koltsov
{"title":"Megacolon, particular case of ledd syndrome. Clinical observation","authors":"N. V. Malgina, V. N. Razbirin, A. I. Koltsov","doi":"10.33920/med-15-2301-04","DOIUrl":"https://doi.org/10.33920/med-15-2301-04","url":null,"abstract":"The article describes a clinical observation of Ledd’s syndrome complicated by total megacolon. The epidemiology, clinical manifestations, diagnosis and treatment of this pathology are discussed.","PeriodicalId":437500,"journal":{"name":"Hirurg (Surgeon)","volume":"140 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120871484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Development of acute peptic ulcers complicated by gastrointestinal bleeding in patients with novel coronavirus infection 新型冠状病毒感染患者急性消化性溃疡并发胃肠道出血的发生
Hirurg (Surgeon) Pub Date : 2023-02-25 DOI: 10.33920/med-15-2301-02
A. B. Musukaeva, I. Miziev, Z. Ivanova, R. A. Ahkubekov, A. Achabaeva, M. M. Zhilova
{"title":"Development of acute peptic ulcers complicated by gastrointestinal bleeding in patients with novel coronavirus infection","authors":"A. B. Musukaeva, I. Miziev, Z. Ivanova, R. A. Ahkubekov, A. Achabaeva, M. M. Zhilova","doi":"10.33920/med-15-2301-02","DOIUrl":"https://doi.org/10.33920/med-15-2301-02","url":null,"abstract":"The study enrolled patients with acute gastrointestinal ulcers and gastrointestinal bleeding, EGD confirmed, against the background of the novel coronavirus infection (61 patients). There were 39 men (63.9 %), women — 22 (36.1 %), the mean age of the patients was 57 years. It was found that preventive schemes of acid blockers administration have not been sufficiently effective and is unsafe for the patients with COVID-19. Based on this, as a prevention of the acute gastrointestinal ulcers in patients with the novel coronavirus infection without GI bleeding, we recommend the administration of the H2 receptor antagonists. The risk of gastrointestinal bleeding increases in patients with COVID-19, so there is a need for further investigation of the efficacy and safety of the preventive therapy in this category of patients.","PeriodicalId":437500,"journal":{"name":"Hirurg (Surgeon)","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126473840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
First experience with highly vascularized lateral flap in patients with trans- and extrasphincter rectal fistula 高度血管化外侧皮瓣治疗经输尿管直肠瘘的首次经验
Hirurg (Surgeon) Pub Date : 2023-02-25 DOI: 10.33920/med-15-2301-03
A. A. Mudrov, S. Frolov, I. Kostarev, T. V. Nikishin, L. A. Blagodarnyi, A. B. Serebriy, A. H. Amirova, A. Titov
{"title":"First experience with highly vascularized lateral flap in patients with trans- and extrasphincter rectal fistula","authors":"A. A. Mudrov, S. Frolov, I. Kostarev, T. V. Nikishin, L. A. Blagodarnyi, A. B. Serebriy, A. H. Amirova, A. Titov","doi":"10.33920/med-15-2301-03","DOIUrl":"https://doi.org/10.33920/med-15-2301-03","url":null,"abstract":"In NMRC coloproctology a surgical method of treatment of the fistula of the rectum with the help of highly vascularized lateral flap (VLF) was developed. Currently 28 patients with trans and extrasphincter fistulas are included, both without and with the presence of purullent-inflammatory process in the surrounding tissue. The observation period was 1–8 months (Me = 4 [1.75; 5.5]). The disease relapsed in 6 (21.4 %) cases. Conclusion: the preliminary results of VLF use are encouraging, the low pain intensity and the intactness of the anal sphincter indicate a low traumatic and sphinctersaving nature of the operation. In addition, the study showed the possibility of using VLF even in the presence of purulent accumulations, which were previously contraindications to the use of plastic techniques as a one-stage treatment.","PeriodicalId":437500,"journal":{"name":"Hirurg (Surgeon)","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131489207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Features of diagnosis and management of patients with hepatocellular adenoma. Literature review 肝细胞腺瘤的诊断与治疗特点。文献综述
Hirurg (Surgeon) Pub Date : 2023-02-25 DOI: 10.33920/med-15-2301-05
I. A. Turchenko, Y. Stepanova, T. V. Shevchenko, B. N. Gurikov, Y. Kovalenko, A. Zhao, A. Chugunov
{"title":"Features of diagnosis and management of patients with hepatocellular adenoma. Literature review","authors":"I. A. Turchenko, Y. Stepanova, T. V. Shevchenko, B. N. Gurikov, Y. Kovalenko, A. Zhao, A. Chugunov","doi":"10.33920/med-15-2301-05","DOIUrl":"https://doi.org/10.33920/med-15-2301-05","url":null,"abstract":"Hepatocellular adenoma is a solid benign neoplasm of the liver, quite rare, heterogeneous in its immunohistochemical features and can be very difficult to diagnose in the realities of modern medicine. Such a tumor is often an incidental diagnostic finding, and treatments range from observation to radical surgical tactics. The most frequent cases of detection in women of childbearing age, taking combined oral contraceptives or other hormonal drugs. This paper will consider the features of the clinical course, modern diagnostic methods and various approaches to the treatment of this type of tumor.","PeriodicalId":437500,"journal":{"name":"Hirurg (Surgeon)","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131231266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Co-existence of intraductal papillary neoplasm of the bile duct and opisthorchiasis: a clinical case 胆管内乳头状肿瘤合并胆胸病1例
Hirurg (Surgeon) Pub Date : 2023-02-25 DOI: 10.33920/med-15-2301-06
S. Trifonov, Y. Kovalenko, T. Savelieva, A. V. Glotov, B. Gurmikov, A. Chzhao, A. Chugunov
{"title":"Co-existence of intraductal papillary neoplasm of the bile duct and opisthorchiasis: a clinical case","authors":"S. Trifonov, Y. Kovalenko, T. Savelieva, A. V. Glotov, B. Gurmikov, A. Chzhao, A. Chugunov","doi":"10.33920/med-15-2301-06","DOIUrl":"https://doi.org/10.33920/med-15-2301-06","url":null,"abstract":"This article presents a clinical case of a patient with an intestinal type of intraductal papillary neoplasm of the bile duct (IPNB). This case is interesting due to the fact that during the histological examination of the macropreparation in the bile ducts, flatworms of the genus Opisthorchis were found in addition to neoplasm elements.","PeriodicalId":437500,"journal":{"name":"Hirurg (Surgeon)","volume":"2010 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127344980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Stenting of the main pancreatic duct as a prevention of the acute post-manipulation pancreatitis development during endoscopic surgery in patients with benign diseases of the bilio-pancreatoduodenal area. Literature review 胆胰十二指肠区良性疾病患者内镜手术期间主胰管支架置入预防急性操作后胰腺炎的发生文献综述
Hirurg (Surgeon) Pub Date : 2023-02-25 DOI: 10.33920/med-15-2301-01
E. Y. Sadovnikova, A. Klimov, V. A. Ivanov, M. Y. Persov, D. T. Nazarov
{"title":"Stenting of the main pancreatic duct as a prevention of the acute post-manipulation pancreatitis development during endoscopic surgery in patients with benign diseases of the bilio-pancreatoduodenal area. Literature review","authors":"E. Y. Sadovnikova, A. Klimov, V. A. Ivanov, M. Y. Persov, D. T. Nazarov","doi":"10.33920/med-15-2301-01","DOIUrl":"https://doi.org/10.33920/med-15-2301-01","url":null,"abstract":"The aim of the study was to analyze the literature on stenting of the main pancreatic duct in order to prevent the development of acute post-manipulation pancreatitis in patients with benign diseases of the bilio-pancreatoduodenal area. Stenting of the main pancreatic duct is applied in treatment of ductal strictures and choledocholithiasis, pseudocysts drainage, duct injuries, dysfunction and stenosis of the sphincter of the major duodenum papilla. The results of the literature analysis show that completion of endoscopic operations on the papilla Vater with stenting of the main pancreatic duct is an effective preventive measure of complications, allowing achieving good results in the treatment of patients with benign diseases of the pancreatoduodenal area.","PeriodicalId":437500,"journal":{"name":"Hirurg (Surgeon)","volume":"192 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125851187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Abdominal surgery method for endosurgical treatment of achalasia of the upper esophageal sphincer 腹部手术方法治疗食管上括约肌失弛缓症
Hirurg (Surgeon) Pub Date : 2022-12-12 DOI: 10.33920/med-15-2206-01
A. V. Shapovalov, S. Tereschenko, E. S. Vakurova, M. I. Prishepo
{"title":"Abdominal surgery method for endosurgical treatment of achalasia of the upper esophageal sphincer","authors":"A. V. Shapovalov, S. Tereschenko, E. S. Vakurova, M. I. Prishepo","doi":"10.33920/med-15-2206-01","DOIUrl":"https://doi.org/10.33920/med-15-2206-01","url":null,"abstract":"he article presents a historical background and current trends in the surgical treatment of patients with neuromuscular dysphagia (achalasia) of the upper esophageal sphincter. The technique, features and results of the first endoscopic operations are described.","PeriodicalId":437500,"journal":{"name":"Hirurg (Surgeon)","volume":"103 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117195490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Early reconstructive rescue surgery for acquired short bowel syndrome (clinical report) 获得性短肠综合征早期重建抢救手术(临床报告)
Hirurg (Surgeon) Pub Date : 2022-12-12 DOI: 10.33920/med-15-2206-02
G. Rodoman, L. V. Kornev, R. A. Volenko, M. I. Shipovskaya
{"title":"Early reconstructive rescue surgery for acquired short bowel syndrome (clinical report)","authors":"G. Rodoman, L. V. Kornev, R. A. Volenko, M. I. Shipovskaya","doi":"10.33920/med-15-2206-02","DOIUrl":"https://doi.org/10.33920/med-15-2206-02","url":null,"abstract":"Short bowel syndrome is a severe, rare malabsorption disorder, often resulting from extensive surgical resections of the small intestine. This condition is often accompanied by pronounced violations of the nutritional status and fluid and electrolyte balance, which are poorly amenable to drug correction. In this article, we describe three clinical cases of patients suffering from this pathology where it was possible to achieve pronounced clinical improvement through reconstructive surgery.","PeriodicalId":437500,"journal":{"name":"Hirurg (Surgeon)","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125724329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Adherence to the use of the caprini score among Russian specialists: results of an electronic survey 俄罗斯专家坚持使用卡普里尼评分:一项电子调查的结果
Hirurg (Surgeon) Pub Date : 2022-12-12 DOI: 10.33920/med-15-2206-06
K. Lobastov, A. Kovalchuk, A. B. Barganzhiya, I. Schastlivtsev, L. Laberko
{"title":"Adherence to the use of the caprini score among Russian specialists: results of an electronic survey","authors":"K. Lobastov, A. Kovalchuk, A. B. Barganzhiya, I. Schastlivtsev, L. Laberko","doi":"10.33920/med-15-2206-06","DOIUrl":"https://doi.org/10.33920/med-15-2206-06","url":null,"abstract":"The aim of the study was to assess the adherence of Russian doctors to the use of the Caprini risk assessment score for venous thromboembolism complications in real clinical practice. On the basis of the Google Forms platform, an electronic questionnaire was created, with an invitation to complete it sent out by e-mail and through social networks of the educational project «School of Thrombosis». The survey was conducted from October 20 to October 30, 2021. The answers were received from 270 respondents, of which 260 questionnaires from specialists working in Russia were included in the analysis. Among the doctors, specialists in vascular surgery, including phlebology, and general surgery from private clinics and city clinical hospitals prevailed. Up to 90 % of the Russian doctors of various medical specialties are aware of the Caprini scale, up to 77 % actively use it in clinical practice, up to 74 % of the specialists use the score results to make decisions on the tactics of primary prevention of venous thromboembolism complications, and up to 28 % of the respondents interact with the scale integrated into medical records in paper or electronic format. Most respondents noted the availability of modern means of pharmacological prevention, in particular, LMWH and DOAC, in their medical institutions. As for mechanical prophylaxis, elastic bandages and compression stockings were almost equally available, but methods of actively accelerating blood flow could be afforded by no more than 15 % of the respondents. Conclusions: most of the Russian doctors surveyed note a high adherence to the use of the Caprini scale to assess the risk of venous thromboembolic complications in real clinical practice.","PeriodicalId":437500,"journal":{"name":"Hirurg (Surgeon)","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128674946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Possibilities of early diagnosis of primary cardiac lymphoma. A clinical case 原发性心脏淋巴瘤早期诊断的可能性。1例临床病例
Hirurg (Surgeon) Pub Date : 2022-12-12 DOI: 10.33920/med-15-2206-05
E. Presnova, A. E. Denisov
{"title":"Possibilities of early diagnosis of primary cardiac lymphoma. A clinical case","authors":"E. Presnova, A. E. Denisov","doi":"10.33920/med-15-2206-05","DOIUrl":"https://doi.org/10.33920/med-15-2206-05","url":null,"abstract":"Tumor lesions of the heart remain an urgent problem due to high mortality. The complexity of early diagnosis of primary cardialymphoma is associated with the non-specificity of symptoms which often leads to the delayed verification of the diagnosis, commonly at stage 4. This article presents a clinical case demonstrating the need for instrumental cardiac diagnostics at an early stage in the presence of non-specific symptoms, such as heart conduction system pathology, hydrothorax, and hydropericardium syndrome.","PeriodicalId":437500,"journal":{"name":"Hirurg (Surgeon)","volume":"98 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114890031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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